HomeMy Public PortalAbout8819 GARIBALDI AVE_Electrical__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 �-E6E CAL-PERMIT-
DEPARTMENT OF PUBLIC YORXS 9701 LAS TUNAS EE-U -499112DO1�
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID ---WILDING ADDRESS:
TR: 5904 LT: 160 BL: .001 X9012-GAR-1 BALD
I��_
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP -CA-917801545
NEAREST CROSS STREET: ROSEMEAD
5384-016-DO1 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
LB 200 ANP PANELS, MCC 1.00 PAN 38.85
TOTAL FEES 66.60 ISSUED PROCESSED BY: PLAN BY: EXPIRES
01/12/99 . UT 01/12/00 .
OMER: TEL. NO: rrwu-w CODE:
CUM MICHAEL P (626) 286-0028- .'L /' ���
' 9012 CAgIBALDI AV 1 iG CO
TEMP 917801545 DEWUPTIM OF WORK 1.
NErY-2DD-'�FPrSERVI�E'PANEL�LPG�/1D
APPLICW TEL. NO:
SAME AS ONNER -
SPECIAL CONDITIONS:
PNGELES CCONTRACTOR: TEL. NOO
SAME AS OWNER �,�s pry
APPROVALS DATE INSPECTOR SIGNATO;ff-
LIC. NO TEMPORARY POWER POLE
UNDERGR"D CONDUIT
LIC. 111111ROUGH CONDUIT
` U C WORK PLASTIC YIN METAL Y/N
UTILITY COMPANY NOTIFIED
LJ
W
Service Tha
F
REPORT ID: DPR265 ROUTE TO: RS0508
COUNTY OF LOS ANGELES TEMPLE CITY D508 tLECTRICAI_•.P T
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ' EL 050$ oDoaa3 0014
BUILDING AND SAFETY / {.AND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: '(626) 285-0488 EXT:
LEGAL •
FEES PAID BUILDING ADDRESS:
TR: 5904LT: 16 8819 GARIBALDd AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801514
ASSESSOR INFORMATION NUM1BER: NEAREST CROSS STREET: MUSCATEL
5386-010-055 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT SW RECP 40.00 OUT 66.00
G2 LIGHTING FIfi5kES 7.00 LGT 13.65
ISSM ON: PIMMM-P: PLAN BY: EXP fln3-W---
K2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 08/03/00 UT 01/31/01
H3 RES DISHWASHR LT 3HP 1.00 DIS 10.95
H4 RES RANGE HDS LT 3HP 1.00 HOD 10.95 F I NALZ E CODE:
IP ALEX KWOK-KEUNG;HE WEN-LI (562) 776-4052- H5 RES LASH MACH LT 3HP 1.00 WAS 10.95 rr
8819 GARIBALDI AV H7 RES EXHAUST FANS 2.00 EX 21.90 2 fo l0 1
TEMP 917801514 LN OTHER PML 0-399 AMPS 1.00 PAN 38.a5 DESUIPTION OF WORK— I
TOTAL FEES 211.95 ELECTRICAL FOR ADDITION AND R ELING
APPLICANT: TEL. W:
IP (562) 776-4052-
SPECIAL CONDITIONS:
NGELES C
FUNG'S CONSTRUCTION CO. (626) 284-3292-
200 M ATLANTIC LIC. NO TEMPOWY POWER POLE
IA 723972 B
ALHAMBRA, CA 91801
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO
ROUGH WIRING
111111
RXT"TER LINE
,,
U
'o'.U C WCnK
PLASTIC Y/M METAL Y/M S)
Z7 ❑
Service Ttha.
REPORT ID: DPR265 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0012080027
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-048$ EXT:
LEGAL ID: FEES PAID ---MILDING ADDRESS:
TR: 5904 LT: 16 8819 GARIBALDI AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801514
NEAREST CROSS STREET: IVAR
5W-010-055 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY
HA FAU LESS 3HP 1.00 FAU 10.95
JB AC UNITS +3-10HP 1.00 AC 19.65ISSUED ON: PROCESSED BY- PLAN BY: EXPIRES .
LB 200 AMP PANELS, MCC 1.00 PAN 38.85 12/08/00 UT 06/07/01 .
TOTAL FEES 97.20
OMER: TEL. NO: FINAL DATb CODE:
IP ALE)( KWOK-KEUNG;HE YEN-LI -
8819 GARIBALDI AV -7 ,,
TEND 917801514
ELECTRICAL UPGRADE PANEL 0 200
APPLICANT: TEL. N10:
YELLS DEVELOPMEI(T AND COSTRUCTION (626) 926-1689-
1312 WALNUT ST .
SAN GABRIEL, CA
UE LES C
CONTRACTOR: TEL. NO: APPROVALS DATE INSPE
WELLS DEVELOPMENT AND CONSTRUCION I (626) 278-1252-
1312 WALNUT ST LIC. NO TEMPORARY POWER POLE
SAN GABRIEL, CA 91776 700198 HIC UNDERGROUND CONDUIT
r
ARCHITECT OR ENGINEER: TEL. 100:
LIC. 111111
ROUGH- WIRING
UpPLASTIC Y/M METAL Y/N
Dp
v
W 1%D/'on UTILITY COMPKWT-gM'=
Z7 A
service m
* ADDITIONAL DATA ON FILE
REPORT ID: DPR265 ROUTE TO: BSO508
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it
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DE ENT
OF BUILDINGPLICATION POR PERMIT'`';}�• ''AP
-COUNTY OF LOS ANGELES :: ELECTTRIC .r
. . NAT REOF INSTALLATION ^ DISTRICT. No, GROUP TYPE PER IT O.
" YYIRING RTURU fSRY'1C!
� _ .
READY FOR RECS:IYED Y . DAT[
RANO[ HlaTXR S
POWER - FTRT INSPECTION / z5
'`t r SIGNS MISCELLANEOUS '
'. APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
..
'IAM JOB • ' .
U ADDAtfI• •
r '+ r _
r C
ADORE" t./ LOCALITY'
OF 'r H[AR[fT.
CITY rr� TiL NO. CROSS T. ;
■TATI COUNTY / J
LIC[N SE No. R[O. No. NAM[
DESCRIPTION OF WORK MAIL, '
HUMOR OF OUTLETS ON CIRCUITS �2
LOCATION DY ROOMS CITY TEL NO. +'
CORRECTIONg
n=
ti= C I R C u I( I A i .D i C D I E I I PrTs 3 ! }{I ,
w
1 INo RooN
r
DINING ROOM
• f "FST. RM. .1. '.
-1 BATH •y D
` { ENT. HALL
HALL No. 1
FRONT PORCH � _Z
OUTSIDE 1
c
'tr KITCHEN I-xi
■owr. Ho. 1 1,31 r r .
CLOSET - _ "�. •Lr'.!•
cl-Of cT '. APPRO.V_4m r
bAif
f r i
1.'A WIRINQ' r Y
n TOTAL
1•
•NO. OF OUTLETS S .. POVY[R
i 1 'NO. OF F77[TUR[fUTtUl7 CO. NOTIFIED Y- Y
NO. Of MOTORS H. P 4 -t _. .; Lam` F7NALS�+'¢r, r J7 1•x;'I� i. is
J 1'AM THE LEGAL OSIYNE7R OF
C. LOQ
- NO. OF BiONf TRANS.' � t •',�<..'.- '.':� -COUN -R[OIBT71AT70N'.N
:.. T'S[
�,Y' r vr4 _'�{ •'S. t.��•.'".-N.. � tri
!»• A 3'�.,•.R' KOHC I•ltOf'�[TY ►.�A'.
s 1 AIY�•tNi1i4AL
OWN ! R 7
> -
�•.: = H1T-+.� :..-; .'.' ,• :-t r1i'• .t �, '. ".'i1'�y�`;�r" I�: �'t--f:i•�t a.
��ir,,;'; `7-TOT�FiI�p�`,'- iir''.C�-rrfisc-,frl.r71.r:�r�r�l r.+�.�`� +,.# a`* .. ;'f��?�f•C+.+ :*.,.a' �i�_ �--'.4.0
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WORKERS'COMPENSATIONDECLARATION 7E- O80 (2-60) �ECTRICAL CE-806G APPLICATION FOR PERMIT
I hereby affirm that I have a certificate of consent to self COUNTY OF LOS ANGELES �� r BUILDING AND SAFETY
insure, or a certificate of Workers'Compensation Insurance,or
a certified copy thereof(Sec. 3800, Lab.C.)
FOR APPLICANT TO FILL IN JOB
Policy No. Company New Residential Bldgs.&Pools EACH NO. FEE ADDRESS
Certified copy is hereby furnished. 1 &2-Family,Sq. Ft. _ — --LOCALITY Lo
N1 r
Certified copy Is filed with the county building Inspection Multi-family Sq. Ft. CROSS ST
department. Residential Swimming Pools OWNER OR i
FIRM NAME
Date Applicant Outlets: R Ight�i�210 a GQ Q ADDRESS
CERTIFICATE OF EXEMPTION FROM WORKERS' Total No. � Additional CITY Tel No.
COMPENSATION INSURANCE PLAN CHECK
(This section need not be completed if the work In oh+ed APPLICANT
by the permit Is for one hundred doUm (5100) o[qes�) Lighting Fixtures FIrat 20 ADDRESS
Total No. Additional cr
I certify that (n the performance of the work for which this Fixed AllaNot Over 1 HP CITY Tel No. O
ppnces
permit is issued, I shall not erhploy any person in any manner PERMIT W
so as to become subject to the Wor ars' Compensation Range_ Heater_`�{D.W. P ICANT' _
,r Oven _ Dryer L,W.M.J� ADDRESS Z
`Date/ge_ �ppllcant Top _ FAU _W.H.
Hood Fen _Other_ g CITY Tel No.
NOTICE TO APPLICANT: If, after making this Certificate of Dlsp. _ Room Air Cond— 3 fd R
Exemption, you should become subject to the Workers' REG NUMBER Clan — 0
Compensation provisions of the Labor Code, you must forth- Power Apparatus& Large Appliances DISTRICT NO. PROCESSED BY
with comply with such providoru or this permit shall be
deemed revoked. Size&Type HP,KW,KVA,or KVA �' t7
Up to 1 Incl.
FINAL
/
LICENSED CONTRACTOROver 1 to 10 Incl. DATE (Y�S DECLARATION Ova r'l0 to 60 Incl. C� VALIDATION
I hereby affb-m that I am licensed under provisions of Chapter Over 60 to 100 Inc. FINAL
9 (commencing with Section 7000) of Dtvftion 3 of the Busl- Oyer 100 BY
ness and Professions.Code, and my license Is in hill force and L
effect. �� Servlces fJ
License Number [3�.5 7� Llc.Clea Q 0-200 Amp. Under 600 V ' s
/ r // 201-1000 Amp.Under 600 V /
6ontractor ewes& Date 1�2—Z`p.Z Over 1000 Amp.or Over 6p0 V �
HOME OWNER-BUILDER DECLARATION Temp.Power Pole&Appurtenances
I hereby affirrh that I am exempt from the Contractor's Sign with One Branch Circuit
License Law for the followingreason Additional Sign Branch Circuits
(Section 7031.5, Busi-
ness and Professions Code):
Misc.Conduits&Conductors
I, as owner of the property, will do the work and the Qther see plate F dule)—
structure Is not intended or offered for sale (Section Sche4 2 16 A
7044, Business and Professions Code). 2
CONSTRUCTION LENDING AGENCY # o 0.0 0.0
I hereby affirm that there Is a construction lending agency - '
for the performance of the work for which this permit is PERMIT FEE (Sub-Total) 2 °.° 3d7 0
Issued (Sec. 3097,Civ.C.). d
Lender's Name PLAN CHECKING FEE (One-Fourth Permit Fee) 0 0 0 3.370E
Lender's Address PERMIT ISSUING FEE d 0'603-82
I certify that I have read this application and state that the TOTAL FEE
above Information is correct.I agree to comply with an County
ordinances and State laws regulating lectrical wiring, and
es
hereby authorize reprentatives of tis ounty to enter upon
the abov entloned property for Ion putpo►es. SEE-REVERSE FOR.EXPLANATORY LANGUAGE
gnature of Permittee Data
OF BUMDUJG ON P
��ty r s Ric R �:�. n
HT1 f°®fT DI Lof Any�ln f+e ;~L ' c�
CAffATT M axCD(JKTM L •i::•' ,:
ENaI •js _ •-y
RIFirIN,r�T or<lm 71 -�, �VILDINO'. •'' r
FOR APP - 1112 ju
_ y ::.
Vp
pIIT p To FILL IN Illl .1 ' J
[A R
L��0 Irr� NUM .1ACF1 *CI.:'i r .. RO j� Y _M1,•!'•r:
L.
Pt L
ToT_A� f l ■AIL
[L[ RANO[f e�
R
0.
�'x7L1RrR DORIr
Nulla1�
NI• R _ IGHT r T .S l •�aeY.r++►
M t5
nUM.[R MOTORS DISTRIX NO. LpROLlP
nr,r Hp Nod+wC, It �'-- . r rryr I 20NB f ■an
r+ R�
Ind tA--M
Ia a IItBPEG'!'ION RF,Oo
z_ ° t oo
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le i.Do -
eo 2.PO .
:ao
a.00
NO. fraNf nw
NO
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C'j4st` ` 'F
�CNTAR
TOTAL F-Ejr ee
r HC7t[RT AG[ROML HA .-.. .,.:. .� -
M iH ALL[ CHAT THC Aj[ THA7'I n RCAp TR[f A �p80Yug' rlZ
EL CTRICAI COUNTY OSDIWRGV�RCCT ARD A01-1"I' All
- ry
R1RIRf, ARDTO
lIC[H!C*G T CCRT1 F1r THAT 1 LTAT[ LA•.,• R[{tiLAT1HC R�N� • ... -- - f .
LY
CALlrolgm [D 1Y R rC'IIL _ "''`'r-�•�. _ _ - _
AL �COUTA A 'RO • ..
D[JCRI URIrR CSIDCIi fA p T7,LiA"GLll Co aw ARovfxim. C p`A�aOF.' ` JILI .^.. -
OF•"CrlN17T[C 7 AIQtiC.: 'r;.•: Vii'!'- _i.- _ r.. _ 4—
wiV-IAM J. fox, couPcryNA - - ..•. . __ ��
...
Atom �F�`f•T._t __ _
, lopaw��•• -.+ '�� �- .�*•" ."7.�;�' _ _ fir.•
r`
b COUJtTy OR /LAOS AfRGCL ,. `' � ''� i i{J'•
DNiSION LIAM J OF� Of 11IItT -
Al
B uMDiN9ia�+r: XPPI.t �7��y�►��
FOX. II+r4fg G � N
FOR ARPLICAIVT Tp
ELC FILL IN r.� ELECTIRjC
FILL
DISTRICT 14
GROUp
MIT NM
cITY S RCpervlrp T �� �• 1 CSSOs.-?
C 0 U 4 IC NEC H T� H rJR,T IM�FOR
P EMI ., _ c1:T1pM pATt Jq
T` FEE •u1LDlNQ i I !7-
LIGHT CU,'L HUN■Cw I
CT, CACH r'CC!. Z N .
R CC[r'TACL[, 1 COAL
--�tA-LL "'TC.I[, N oom
TOTAL p
uTL
rn
CLCn. RA,,,C■ ,o OWN[ r
CLEC =
1�CATC Wd 28 MAIL
F I ACTOR
kTURC, 25
Irr n CITY r=.
Hum
Num
a[R DI LIGHT CIRCUIT, I H[RC,y AO TCL. MO, `t
■CR Or R_ A pUCAT/ON Amo��-[DOc THAT
''CCnTAIL[ CIRCUIT, 1 14AVZ MAO TH1, .art
p� A" A Q C THAT
Nr•.~� MOS Ra A"
J AS
mm to
ANO Q AT'[ La►Y>•QRIp VL.�T�O t ALL
[CftWr, ",NOA NO[, +"I'
vP. Hr Qvro ,� rr[ �:�• AHOR[R'1'It-fir `NAT I R04[y CTRlQAL W"FINCL i
LCA t OF TH ClIDSHT AL C[H,l, OR AM A---t
"Allp L�
v_ 0k
_ !o , 210HATUR[ pF A,avr _
75
fD O •.t.= • ECTION HECo
200 ,.00
00 t CL oo j
M.Q. ,ICT/ CVr� IppO
rRCq- CHANOCR�„
OL7iCII t
--TRA`�oww[_ " 8
TCHr. KVA =1 _ T—
M
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—MDQ. `+oTort■ (Ts r. orp.*
Ha 810 Ne. -- . . 1 ,-_ _ - _ ,.•.
roR HM LAM►, _ Zi,
GCt; ■[KNIT! ~•` ••.-
wl
APPIZO
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rrrrAL FCC rrkT11
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